Medical Billing Specialist - Virtual Assistant

This is a remote position. Virtual Rockstar is seeking a dedicated and detail-oriented Medical Billing Specialist to join our partner’s growing healthcare practice. This is a full-time position focused on billing, claim management, insurance verification, and client communication. The ideal candidate will have strong billing experience, thrive in a fast-paced environment, and ensure accuracy and efficiency in financial processes. If you're proactive, organized, and have a strong understanding of medical billing and insurance processes, this is a great opportunity to join a collaborative, fast-paced team making a real impact. About the Clinic's Culture • Mission-Driven: Focused on helping children and families thrive. • Solution-Oriented: Encourages independent problem-solving and continuous improvement. • Team-Centered: Every member is essential to the success of the clinic. • Growth-Focused: Mistakes are viewed as opportunities to learn and get better. • Efficiency-Minded: The team is always seeking ways to work smarter. Responsibilities Billing & Claims Management • Review charges and submit claims accurately. • Monitor and track incoming payments; process payments received. • Post ERAs and reconcile accounts. • Investigate and resolve billing discrepancies and disputes with clients and internal departments. • Review and appeal denied claims. • Generate billing reports and assist with audits, supporting month-end and year-end closing processes. Insurance Verification & Authorizations • Perform accurate eligibility and benefit verifications. • Verify in- and out-of-network coverage using payer portals. • Obtain pre-authorizations and track the status of pending insurance claims. • Request and upload medical records for payment of claims and authorizations. • Act as liaison between patients, clinic staff, and insurance companies to clarify benefits and responsibilities. • Update patient files with accurate insurance and demographic information. Client Communication & Administrative Support • Communicate with clients regarding billing inquiries, payment status, and financial responsibilities. • Provide direct support to clinic personnel regarding utilization, authorizations, and referrals. • Perform data entry, prepare reports, and maintain accurate patient and billing records. • Ensure compliance with HIPAA, company policies, and industry regulations. Software and Tools Used • Practice Pro • Microsoft Office 365 • Zoom (Phone, Chat, Video) • ClaimMD • IntakeQ • Availity Requirements • Attention to Detail: Accuracy in billing, claims, and financial reporting. • Billing/Accounting Software Proficiency: Prior experience with electronic billing systems (e.g., ClaimMD, Availity, EMR/EHR systems). • Organizational Skills: Ability to manage multiple accounts and deadlines. • Communication Skills: Strong written and verbal communication for client and insurance interactions. • Problem-Solving: Analytical skills to investigate and resolve billing discrepancies. • Time Management: Ability to prioritize tasks in a fast-paced environment. • Adaptability: Willingness to cross-train and assist with overflow responsibilities. • HIPAA Compliance: Maintain confidentiality and follow all regulatory requirements. Benefits • Competitive salary commensurate with experience. • Opportunities for professional development and growth. • Work in a dynamic and supportive team environment. • Make a meaningful impact by helping to build and strengthen families across the globe. Apply tot his job Apply To this Job